ArticlePloS one2018
Sleep habits and strategies of ultramarathon runners.
Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Mental Health in Ultra-Endurance Runners: A Systematic Review.Sports medicine (Auckland, N.Z.) · 2023Pooled it
- Is There Evidence for the Development of Sex-Specific Guidelines for Ultramarathon Coaches and Athletes? A Systematic Review.Sports medicine - open · 2023Pooled it
- Sleep disturbances after an ultra-trail endurance race: a field study.Sleep medicine: X · 2026Article
- Pacing profiles and slowdown patterns in ultra-triathlon performance.Scientific reports · 2026Article
- The Role of Sleep on Physical and Cognitive Performance of Ultra-Endurance Athletes: A Systematic Review.Journal of clinical medicine · 2026Review
- Changes in the objective measures of sleep in association with menses among female athletes with excessive daytime sleepiness.Sleep and biological rhythms · 2026Article
- The Sleep-Wake Cycle Pattern of a Blind Trail Ultramarathon Runner and His Guide: The World's First Case.Clocks & sleep · 2025Article
- Identifying anxiety and sleep problems, associated factors and sex differences in endurance and ultra-endurance runners.Frontiers in psychology · 2025Article
- Sleep and Ultramarathon: Exploring Patterns, Strategies, and Repercussions of 1,154 Mountain Ultramarathons Finishers.Sports medicine - open · 2024Article
- Observational
- Sleep Health, Individual Characteristics, Lifestyle Factors, and Marathon Completion Time in Marathon Runners: A Retrospective Investigation of the 2016 London Marathon.Brain sciences · 2023Article
- Running on Empty: Self-Reported Sleep/Wake Behaviour during Ultra-Marathon Events Exceeding 100 Miles.European journal of investigation in health, psychology and education · 2022Article
- Sleep-Wake Behaviour of 200-Mile Ultra-Marathon Competitors: A Case Study.International journal of environmental research and public health · 2022Observational
- The Consequences of Training and Competition to the Musculoskeletal System in Ultramarathon Runners: A Narrative Review.Frontiers in physiology · 2021Review
- To Nap or Not to Nap? A Systematic Review Evaluating Napping Behavior in Athletes and the Impact on Various Measures of Athletic Performance.Nature and science of sleep · 2021Review
- Pre-Race Sleep Management Strategy and Chronotype of Offshore Solo Sailors.Nature and science of sleep · 2020Article
- Sleep quality monitoring in individual sports athletes: parameters and definitions by systematic review.Sleep science (Sao Paulo, Brazil)Review
- Earlier shift in race pacing can predict future performance during a single-effort ultramarathon under sleep deprivation.Sleep science (Sao Paulo, Brazil)Article
- Sleep and nutritional profile of endurance and ultra-endurance running athletes.Sleep science (Sao Paulo, Brazil)Article
- Impact of extreme physical exercise (28 consecutive marathons) on sleep time and structure.International journal of clinical and health psychology : IJCHPArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Among factors impacting performance during an ultramarathon, sleep is an underappreciated factor that has received little attention. The aims of this study were to characterize habitual sleep behaviors in ultramarathon runners and to examine strategies they use to manage sleep before and during ultramarathons. Responses from 636 participants to a questionnaire were considered. This population was found to sleep more on weekends and holidays (7-8 h to 8-9 h) than during weekdays (6-7 h to 7-8 h; p < 0.001). Work was a mediator of napping habits since 19-25% reported napping on work days and 37-56% on non-work days. There were 24.5% of the participants reporting sleep disorders, with more women (38.9%) reporting sleep problems than men (22.0%; p < 0.005). Mean (±SD) sleepiness score on the Epworth Sleepiness Scale was 8.9 ± 4.3 with 37.6% of respondents scoring higher than 10, reflecting excessive daytime sleepiness. Most of the study participants (73.9%) had a strategy to manage sleep preceding an ultramarathon, with 54.7% trying to increase their opportunities for sleep. Only 21% of participants reported that they had a strategy to manage sleep during ultramarathons, with micronaps being the most common strategy specified. Sub-analyses from 221 responses indicated that sleep duration during an ultramarathon was correlated with finish time for races lasting 36-60 h (r = 0.48; p < 0.01) or > 60 h (r = 0.44; p < 0.001). We conclude that sleep duration among ultramarathon runners was comparable to the general population and other athletic populations, yet they reported a lower prevalence of sleep disorders. Daytime sleepiness was among the lowest rates encountered in athletic populations, which may be related to the high percentage of nappers in our population. Sleep extension, by increasing sleep time at night and daytime napping, was the main sleep strategy to prepare for ultramarathons.
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